Individual
KELLY SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1475 E BELVIDERE RD STE 185, GRAYSLAKE, IL 60030-2026
(847) 535-8822
Mailing address
1475 E BELVIDERE RD STE 185, GRAYSLAKE, IL 60030-2026
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
IL
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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